Context:Posterior shoulder tightness (PST) and glenohumeral internal-rotation deficit (GIRD) can contribute to shoulder pain suffered by athletes engaged in overhead sporting activities. Stretching is a common intervention to resolve PST and GIRD, but it has weak evidence of effectiveness to date.Objective:This systematic review aimed to collect and synthesize effectiveness data from English- and Japanese-language randomized controlled trials (RCTs) investigating stretching interventions for PST and GIRD.Evidence Acquisition:7 English databases and 3 Japanese databases were searched from inception until December 5, 2015. Only English- and Japanese-language RCTs were considered. Risk of bias in the included studies was assessed using the Physiotherapy Evidence Database scale. Data were synthesized qualitatively.Evidence Synthesis:Eight English-language and 2 Japanese-language papers of low to high quality were included. There was moderate evidence for positive immediate and short-term effects of cross-body stretch on PST and GIRD in asymptomatic young subjects. Moderate evidence was found to suggest that active sleeper stretch might not be more effective than no intervention to improve PST and GIRD in the short term.Conclusions:Cross-body stretch can be effective to improve PST and GIRD in asymptomatic young subjects immediately or in the short term. Further study with methodological rigor is necessary to investigate the long-term effectiveness of stretching interventions on PST and GIRD in symptomatic patients.

Background: Although pre-performance massage is frequently used in sports settings, the evidence regarding its effects on muscle strength and functional performance is equivocal. Purpose:The purpose of this systematic review was to synthesize the findings of randomized controlled trials (RCTs) investigating the effects of pre-performance massage on strength and functional performance.Study Design: Systematic review with qualitative analysis.Methods: Eight electronic databases were searched from inception until June 2017. Methodological quality of included studies were assessed using Physiotherapy Evidence Database scale. Data was synthesized qualitatively.Results: Nine crossover RCTs with varied methodological qualities met inclusion criteria. Six out of nine studies had low quality, while two were of moderate-quality and one was high-quality. Following the descriptive analysis using within-group effect sizes of interventions used in included studies, no evidence was found to support the use of any kind of massage interventions (passive manual massage or self-massage) to enhance maximal strength, sprint or jump performances of young healthy subjects. In fact, there appears to be limited evidence which implies the negative effects of passive manual massage. In particular, longer-duration (> 9 minutes) of massage interventions tended to result in negative effects on lower-limb maximal strength, sprint performance and jump height. Conclusion:In conclusion, the use of longer-duration pre-performance massage cannot be recommended for enhancing young athletes' strength and performance in sprint and vertical jump. More high-quality RCTs are necessary to examine overall effects of pre-performance massage on athletes' performance.

Objectives: Various stretching techniques have been proposed to prevent or improve Glenohumeral Internal Rotation Deficit (GIRD) and Posterior Shoulder Tightness (PST). Common stretching techniques include modified sleeper stretch and cross-body stretch. The current evidence is unclear which stretching technique is more effective. This study aimed to examine immediate effects of modified sleeper stretch and cross-body stretch on GIRD and PST. Methods: This study was a crossover randomised controlled trial. 12 young healthy individuals (nine men and three women, age 20.9 ± 0.3 years, body mass index 21.3 ± 1.3) were recruited. At two separate sessions, participants actively performed a randomly assigned stretching technique; modified sleeper stretch, or cross-body stretch. Range of motions (ROM) of dominant shoulder in external rotation (ER), internal rotation (IR) and horizontal adduction (HA), were assessed before and after stretching interventions. Results: Both stretching interventions led to significant immediate improvements in IR and HA (p<0.01), however not in ER. There was no significant difference between the two intervention groups in terms of ROM changes. Conclusion: Both modified sleeper stretch, and cross-body stretch might be applied effectively to treat GIRD and PST in the short term, as long as they do not provoke pain.

Our systematic review found no conclusive evidence about the effectiveness of any braces and orthoses for patients with medial knee osteoarthritis. Future Japanese-language studies should address methodological flaws exposed in this review and strengthen the international evidence base. Clinical relevance This is the first systematic review of Japanese-language randomised controlled trials investigating orthoses for patients with knee osteoarthritis. Clinicians can consider the use of short-lever elastic knee braces to improve specifically pain on squat or walking. Evidence found in this review does not support the use of foot orthoses.

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Background: Stretching for iliopsoas muscles is commonly performed for patients with non-specific low back pain, which tends to be provoked by extension-related movements. However, it is unclear whether stretching can immediately alter lumbopelvic-hip kinematics of patients during gait.